NICOLE ELIZABETH LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159705

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

LARSEN

Business Name

NICOLE ELIZABETH LARSEN MD

Original Issue Date

03/07/2022

Effective Date

03/07/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026